Subretinal hemorrhage is a vision threatening complication of exudative age related macular degeneration(AMD) and polypoidal choroidal vasculopathy(PCV). Timely removal or displacement of subretinal hemorrhage from th...Subretinal hemorrhage is a vision threatening complication of exudative age related macular degeneration(AMD) and polypoidal choroidal vasculopathy(PCV). Timely removal or displacement of subretinal hemorrhage from the central macula, ideally within 7 to 10 days after onset, is critical to allowing potential recovery of vision. Surgical techniques with the use of a bubble to displace the subretinal hemorrhage can now be performed with tissue plasminogen activator to lyze the blood and with or without vitrectomy.展开更多
BACKGROUND To report the possible reasons for needle perforation and complications related to perforation,as well as the clinical management of subretinal hemorrhage(SRH)during retrobulbar injection.CASE SUMMARY A 65-...BACKGROUND To report the possible reasons for needle perforation and complications related to perforation,as well as the clinical management of subretinal hemorrhage(SRH)during retrobulbar injection.CASE SUMMARY A 65-year-old female was scheduled to undergo pars plana vitrectomy(PPV)in her left eye for rhegmatogenous retinal detachment(RRD).During retrobulbar anesthesia,needle perforation of the globe occurred.Massive SRH in the inferotemporal quadrant together with vitreous hemorrhage were observed.The patient underwent PPV combined with retinotomy for removal of the massive SRH.After earlier surgical intervention,successful reattachment of the retina was achieved.CONCLUSION Inadvertent globe penetration during retrobulbar anesthesia is associated with a poor prognosis and may result in blindness.Timely detection and earlier intervention may be beneficial.展开更多
文摘Subretinal hemorrhage is a vision threatening complication of exudative age related macular degeneration(AMD) and polypoidal choroidal vasculopathy(PCV). Timely removal or displacement of subretinal hemorrhage from the central macula, ideally within 7 to 10 days after onset, is critical to allowing potential recovery of vision. Surgical techniques with the use of a bubble to displace the subretinal hemorrhage can now be performed with tissue plasminogen activator to lyze the blood and with or without vitrectomy.
文摘BACKGROUND To report the possible reasons for needle perforation and complications related to perforation,as well as the clinical management of subretinal hemorrhage(SRH)during retrobulbar injection.CASE SUMMARY A 65-year-old female was scheduled to undergo pars plana vitrectomy(PPV)in her left eye for rhegmatogenous retinal detachment(RRD).During retrobulbar anesthesia,needle perforation of the globe occurred.Massive SRH in the inferotemporal quadrant together with vitreous hemorrhage were observed.The patient underwent PPV combined with retinotomy for removal of the massive SRH.After earlier surgical intervention,successful reattachment of the retina was achieved.CONCLUSION Inadvertent globe penetration during retrobulbar anesthesia is associated with a poor prognosis and may result in blindness.Timely detection and earlier intervention may be beneficial.
